Wed 9 Feb 2011
I had my appointment at the fertility doctor’s to start my shots this morning. I thought I’d receive a little box of shipped syringes and random meds, but instead, the nurse brought in two sizeable giftbag-sized paper bags packed with stuff. They’re also keeping some syringe cartridges in their fridge for me at the clinic because I won’t need that particular medication yet. I guess I now know what $1926.45 of medication at a specialty pharmacy buys me. I have spare syringes galore, alcohol swipes, a plastic syringe disposal box, estrogen patches, containers of pills, multiple types of injectible fluids. (They also surprised me with an ultrasound when I got in; they counted 4 follicles [eggs] in one ovary and 7 in the other…where did the other 5 go that they had counted at the beginning of the cycle?)
In the nurse’s office, she told me about the first round of meds: one injection of Lupron each morning for 10 days. The syringe is TINY. The needle is thin (altho not as hair-thin as in my ideal fantasy scenario, albeit if I were fantasizing, I’d just be magically pregnant FOR FREE without having to go thru any of this) and only a half-inch long. The nurse went through a scenario of how to set up the shot, draw a small dose of medication up to the “10” line in the syringe, get rid of any air bubbles, how to pinch the fatty part of my lower abdomen (I have plenty to pinch), clean a selected area an inch away from my belly button with an alcohol pad, and how to inject and remove the syringe afterwards. The process was simple enough. She had me practice drawing with a demonstrative syringe and a little medication bottle of water. I asked if I could do my first injection there, as I wanted to be in a doctor’s office in case I have questions or screw up my first time. She said sure, and I had a little dance with a stubborn air bubble in the syringe on my draw, but she said it’s okay because the shot is going subcutaneously so air isn’t a big deal as long as it doesn’t keep me from getting the right dosage of meds. I swabbed my abdomen fat, pinched the area, placed the needle where I wanted it, she said the spot was fine, and then saying, “Ew,” with my hands shaking, I went straight in, semi-gently. Actually I don’t know how fast I did it cuz I have no memory of watching it go in. I think I looked away and just pushed the needle. In total shock, I said, “I didn’t feel anything! I have, like, no nerve cells there!” I pushed the plunger, removed the needle (THAT all felt surreal), looked at the spot the needle came out of, and there was not a THING that gave away what I had just done. No mark, no fluid, no sensation. WOW. “It hurts more when I pull an eyebrow hair!” I said incredulously. I am SO RELIEVED. I can do this every morning, sure, no problem! I’m still wiggy about the intramuscular shots, though, but she won’t tell me about those yet to not overwhelm me. That’ll come later.
hooray, i’m glad it was quick and painless! almost makes me want to stick myself with a needle… almost =P
you know, if you stopped working out and eating so healthy, you might develop a little fat, which would make this whole process easier 😉
I was telling Mr. W he should try it because it’s so amazing how much you DON’T feel the needle there. I can mail you a syringe to play with, I have plenty! haha
I have puh-lenty of fat there, believe me. (Altho kinda funny, as I’m responding I’m munching on raw carrots, cherry tomatoes and two types of raw snap peas, after having just gotten back from pilates.) I think that’s the reason it was so painless. Fat cells have no nerves or something. Makes me want to shove a chopstick into my lower abdomen, swish it around, and then squeeze the fat out thru the hole.
Cindy girl, it usually the medication that hurts with an injection, not the needle.(assuming you use a new, sharp needle.) I couldn’t tell you that before because I was afraid you would a)call me a liar or b)get scared of the medication. Another helpful hint if you are open to it. When inserting the needle, faster is better. Don’t bother “easing” it in there. That doesn’t help. Jam that sucker home!
The doctor told me long ago that some people find some of the meds to burn a little at the injection site. I haven’t had that experience. Yes, I have brand new sharp needles galore.
It hurt this morning. 🙁 I tried to pick the same area but on the other side of my belly button, hoping I’d miss nerves again. I pushed the needle, and it hurt! So I said ow and pulled it out. I must’ve gone too slow cuz only the tip went in. Anyway, thinking I may have accidentally inserted over a nerve, I moved the needle a little to the left and it STILL hurt! But I pushed it in, pushed the plunger and removed it. After I disposed of all the wrapping, alcohol swabs, whatever, the fact that I could totally feel my injection site AND the fact that two little pink bumps showed up where I’d poked myself (twice) wigged me out and I felt my blood pressure drop and heard ringing in my ears. So I laid down on my back on the bed until the ringing gave way to a water rushing sound and I got warmth back in my face and my hearing returned. (Yes, I put myself into shock.) I also thought maybe I caused pain this time cuz I didn’t let the alcohol dry like I did yesterday. The nurse warned me if I left it wet when I poked, it may sting a little.
Honestly on a pain scale, this pain ranked well below a pimple, but it was the fact that what I was feeling was a result of my having poked a hole that psychologically was too much for me.
I hope the Johnny Love at lunch eases the sting in the morning! I had to catch up with a month of blogs! Agh!It was a crazy busy month!(Not that I haven’t seen you!)
I was feeling splendid by lunch already. 🙂 Haha, a month’s worth of blog posts for me used to be 73 posts. It’s now, what, 7? But you DID have an eventful month. Much of it fun stuff. =D
Day 3: scared because of Day 2. But waited for alcohol to dry, placed needle, [freaked and stalled for a few seconds], looked away and went more swiftly in. Felt NOTHING, like Day 1. WHEW. So it was likely the speed. Just poking it allows the nerves to work. Going straight in is sensationless.
Yay! The IM shots are no different really. Sometimes it’s not that the medication burns, but the volume. It sounds like you are working with small amounts, so I’m sure you will have no trouble.
Yay for speedy needles!!!! 🙂
Day 4. Injection went smoothly. Got my personal steps down of place needle, look away, plunge, inject. Painless. But now I got itchiness at the injection site. Trouble-shot with Bat (who’s a nurse) via text, and determined it was a localized reaction to the injection. In 15 mins the tiny mosquito bite-looking swell and discoloration (red rash appearance) went away.
Day 5. I’m starting to think I just have no luck on the right side. Like Day 2, I felt it (altho it wasn’t as much of an “ow” as Day 2 cuz I’m swifter now). When I pulled the needle out, I was surprised to see a drop of blood on my skin surface. That’s never happened before, altho the nurse who gave me the rundown on shooting up said it may happen sometimes and it’s no big deal. What’d I do, go thru a blood vessel on the right side? How annoying.
A girl at my work was JUST tellign me about Lupron cuz her daugther is on it to slow down her puberty stage so she can grow a few inches. She recommended I put my neice on that and I thought she was crazy! Good luck with the injections. I used to give my dog and sheep their shots 🙂 I had to give a dairy heifer an intramuscular on before and she didn’t feel it at all. Hope you have the same experience!
Day 6. Shot was uneventful. It wasn’t sensation-free like Days 1 and 3, but it wasn’t bad, either.
Vanessa – don’t mess with a girl’s normal hormones and stuff for VANITY! Screwing with one’s body is NOT ideal. I would not want to get a shot a day just for a few inches. I’ll deal with the achy feet from high heels!
Day 7. I think seriously, my left-hand side just has no nerve cells or vessels. Uneventful shot, altho there was some mild itching at the injection site afterwards for a few mins. Very mild visual reaction, tho. It got a little pink (very faded pink), but took awhile to get there. I did notice a small bruise on the right side and poked at it quizzically to see if maybe I’d injured myself there without noticing it. Then I remembered — that’s where Day 5’s injection drew a drop of blood.
i didn’t realize that you were continuing to post updates here! how many more days?
I didn’t want to gross needle-queasy readers out by putting it in the open. One post about shooting up is bad enough, right? haha.
3 more days of Lupron shots. After that I switch to another kind of shot. I’m not sure which shot comes next cuz they didn’t tell me yet, but I have a whole slew of subcutaneous shots in a pen-type syringe with disposable “heads,” one vial of HCG hormone and I’m not sure if it’s gonna go subcutaneously or intramuscularly, and a series of progesterone shots that’s gonna go intramuscularly (shudder). I hear those hurt. Also, the doctor is keeping a series of vials of yet a different injectible in their fridge for me, and I’m not sure what that is, or whether it goes subcutaneously or intramuscularly.
you should start a separate blog about your IVF journey! i’ve seen others, but they’re all so depressing (cuz they’re usually written by women who have tried unsuccessfully to conceive for months or years). your experiences would be so valuable and interesting to others going through (or considering going through) IVF, and of course, to your friends who are curious and fascinated by modern miracles of medicine/science. plus, you’re such a great writer — if anyone can make IVF fun to read about, it’s you!
p.s. going through IVF first hand should count for at least 8 units toward a phlebotomy or RN certification!
I’m way too lazy to manage yet another blog. But I’ve been thinking I should start a new category, so that I’ll just tag all IVF-related posts with that category and people who find my site due to an interest about IVF need only click that category to see only IVF-related posts. Kinda like my French Polynesia category. 🙂 Clicking that always makes me happy. 🙂
I haven’t seen any IVF journey blogs, and if they’re all that depressing, I’m relieved I didn’t get the downer before I started.
P.S. units toward phlebotomy and RN certs are only effective if I can handle phlebotomy and RN stuff. *shudder* I couldn’t hack the medical field; I’d be the one on the ground passed out in shock all the time. That probably wouldn’t make patients very comfortable.
i thought about the tagging thing too, and i’m all for that. but i thought your concern was not freaking out your regular needle-phobic readers with daily talk of needles =P well, whatever you decide, i will continue reading.
and omg, your comment about passing out and not making patients comfortable made me laugh out loud. that is HARD to do =P
=D I guess if I felt faint around you, I’d have to wait for you to stop laughing at me before you called an ambulance.
Day 8. I stopped the birth control pills yesterday (meaning today is the 2nd day I won’t be taking them). The Dr put me on them so that I won’t ovulate when I’m on Lupron. Apparently Lupron can only be administered at a certain point after ovulation, so rather than counting and guessing or taking blood tests galore to check hormone levels to see when I’ve ovulated, they simply have me on BCPs cuz then anytime would be non-ovulation time. So I’m supposed to get a period soon, my last for awhile.
As far as the shot this morning, it was the problematic right side’s turn. I tried to go a little farther out to the side of the bruise, and a little lower, so as to avoid whatever vessel may be there. I felt that poke again. It was a small pinch of pain, but it was still an owie. Stupid right side. Some itchiness and mild pinkness followed.
aside from uneven stomach-tracks, is there any reason why you have to alternate sides? i.e. could you just avoid the problematic right side altogether?
so what happens when you get your period?
The nurse told me to switch around and give the side some time to rest before hitting it again. I’m sure I don’t hit the exact same injection site twice (cuz the needle’s so tiny and there’s SO MUCH surface area =P), but maybe they don’t want any sort of “buildup” if foreign substances keep getting introduced to the same tissue. They didn’t exactly tell me why, tho.
I’m not sure what happens when I get my period, I think I just do, and then the baby gets fresh endometrial lining for the implant. (Who wants month-old bedding, anyway?)
Day 9. Shot moved down to the center of the lower abdomen, below my belly button. I was surprised felt the poke in this spot, and for the first time I felt the fluid going in for the injection, but there was minimal effect. No itching, I didn’t see much discoloration, if any. It also occurred to me, like it did Christi, to just avoid the right side altogether. I’ll talk to the nurse about that at my appointment tomorrow morning. It’ll be a new step starting tomorrow, as well as my last Lupron shot. So maybe it’ll be intramuscular shots (buttocks) next. *shudder*
oh. i don’t really get the point of the BCP if you/they are gonna “let” your period come anyway. this is all so complex! agreed on the month-old bedding =P
as for the butt shots, are you going to ask for help with those? or are mr. w and dodo also squeamish with needles?
the BCP is just to keep me from ovulating so that they can take some guesswork out of working around my ovulation cycle for the Lupron. On a Lupron site I was reading, it says some women don’t have a period when the BCP stops. I guess we’ll see.
Dodo is totally not squeamish. I only recently found out that they get urine samples from Dodo by extraction at the abdomen with a syringe! EEK! I thought they just got him to pee somehow. A needle thru fur, skin, fat, muscle, AND organ is so much worse than just my skin and fat. And Mr. W seems to have no needle issues as long as they’re not going into his mouth.
Day 10. My formerly non-problematic left side betrayed me. Poke. Ow. Drop of blood. Oh, well. Last one, right? NO! I’ll have to blog about this morning’s fertility dr visit in a separate post. Oh yeah, and I got my period this morning.
The doctor’s office had forgotten to give me a folder from the drug company with receipts, drug information, etc. when they gave me the initial “goodie bags” (that’s what they really call them). Now that I got it from my visit yesterday, I’m flipping through and see this in the information on the insulin syringes that I’ve been using for Lupron administration:
“Possible side effects…
Redness, swelling, or itching at injection sites.”
I guess the irritation I’d experienced is a normal, common side effect to the needle.